PTPilotJMIR rehabilitation and assistive technologies2025

Enhancing Self-Efficacy Through Robotic Safety Support in Balance-Challenging Reach Tasks: Feasibility Study in Young Adults.

Daiki Shimotori, Soshi Fujisawa, Masahiro Nishimura and 2 others

PMID 41026503

WHAT IT FOUND

A fall-safety robot and familiarization with it raised confidence before challenging reaches, but did not improve reach distance, forward-back sway, or task persistence beyond the control group in healthy young adults.

Key findings

01The robot group, which also received robot familiarization, had higher self-efficacy ratings before challenging reaches (median 1.0) than the control group (median 0.0), and the difference was significant (P=.047).

02There was no significant difference in percent change in functional reach distance from baseline to the later no-robot test (robot group 104.2%, control group 103.6%).

03There was no significant difference in task persistence during the challenging reach task.

STILL TO COME

How it was doneWhat they foundWhat it means for PTs

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What it does not show

The study included only 24 healthy young adults, so it cannot show effects in older adults or people with balance impairment. The test was a single session, so it did not assess long-term confidence, activity, or fall prevention. Healthy young adults may have had little room for physical performance to improve, so physical differences were hard to detect. The robot group also received robot familiarization and supervised safety precautions, so the robot alone cannot be separated from those exposures. The outcomes were confidence, reach distance, sway, and task persistence, not actual falls or daily function.

Declared interests

The authors declared no conflicts of interest.

The easy way to misread this

Do not read the higher confidence as proof that the robot alone improves balance or reduces falls. The robot group also received familiarization, the study used healthy young adults in a single session, and reach distance, forward-back sway, and task persistence did not differ significantly from the control group.

Summarised by AI from the full paper, without a clinician reviewing it. Check it against the source before it changes what you do. Read it on PubMed →